Pre-Service Coordinator

Job Summary

A company is looking for a Pre-Service Coordinator responsible for managing referral requests for homecare, DME/supplies, and pharmacy/infusion services.

Key Responsibilities

• Process and manage inbound referrals, ensuring all necessary documentation is complete
• Verify benefits coverage and eligibility for services according to Health Plan contracts
• Educate members and providers on referral management and communicate final determinations

Required Qualifications

• 1-3 years of experience in Home Health, DME, or Infusion Pharmacy
• Knowledge of Medicare/Medicaid and commercial insurance
• Experience with medical authorizations
• Technical experience with Microsoft Office (Word, Outlook, Excel) preferred
• Knowledge of medical billing is preferred